Age (in years):

Weight (in kg):

Height (in cm):

Gender: Male Female

Activity Level: Sedentary (little or no exercise) Lightly Active (light exercise or sports 1-3 days a week) Moderately Active (moderate exercise or sports 3-5 days a week) Very Active (hard exercise or sports 6-7 days a week) Super Active (very hard exercise or physical job & exercise 2x a day)